Pathogenesis and therapeutic methods of diabetic erectile dysfunction based on collateral disease theory

MA Jianxiong; YE Miaoyong; LI Haisong; ZHANG Chunhe; WANG Bin; MA Limin; ZHAO Fan; LI Yueqing

doi:10.16025/j.1674-1307.2025.01.005

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Pathogenesis and therapeutic methods of diabetic erectile dysfunction based on collateral disease theory

更新时间：2025-01-24

- Pathogenesis and therapeutic methods of diabetic erectile dysfunction based on collateral disease theory
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 1, Pages: 23-27(2025)
- 作者机构：
  
  1.浙江中医药大学附属第一医院肾病科，杭州 310003
  2.温州医科大学附属温岭医院泌尿外科，温岭 317500
  3.北京中医药大学东直门医院男科，北京 100700
  4.云南中医药大学第一附属医院男科，昆明 650021
  5.南通大学附属医院泌尿外科，南通 226001
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.01.005
  CLC：
- Published：25 January 2025，
  
  Received：20 June 2024，
- 稿件说明：
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MA JIANXIONG, YE MIAOYONG, LI HAISONG, et al. Pathogenesis and therapeutic methods of diabetic erectile dysfunction based on collateral disease theory. [J]. Beijing journal of traditional chinese medicine, 2025, 44(1): 23-27.
DOI：

MA JIANXIONG, YE MIAOYONG, LI HAISONG, et al. Pathogenesis and therapeutic methods of diabetic erectile dysfunction based on collateral disease theory. [J]. Beijing journal of traditional chinese medicine, 2025, 44(1): 23-27. DOI： 10.16025/j.1674-1307.2025.01.005.

摘要

糖尿病性勃起功能障碍（ED）是糖尿病常见并发症之一，属难治性勃起功能障碍（RED），临床治疗策略尚需探讨。基于“络病理论”并结合阴茎海绵体特有解剖结构，提出糖尿病性ED等RED应归属为“阴茎络病”的观点，继而从病位、病因、病理三位一体探讨糖尿病性ED病机及治法。“阴茎络脉”为糖尿病性ED之微观病位，“内热伏体”状态是糖尿病性ED发生发展的特异性病因，阴茎络脉微癥积则是糖尿病性ED的关键病理变化，治疗重在益气活血、通络消癥，兼除伏热之邪。

Abstract

Diabetic erectile dysfunction （ED） is one of the common complications of diabetes and is classified as refractory erectile dysfunction （RED）， for which clinical treatment strategies still need to be explored. Based on the "collateral disease theory" and the unique anatomical structure of the penile corpus cavernosum， it was proposed that RED， including diabetic ED， should be classified as "penis collateral disease". From this perspective， the pathogenesis and treatment methods of diabetic ED were discussed through a trinity approach， considering disease location， etiology， and pathology. The "penile collateral vessels" represent the micro-location of diabetic ED. The "internal heat" condition is a specific cause of the onset and progression of diabetic ED， and micro-lumps in the penile collateral vessels are the key pathological changes in diabetic ED. Treatment should focus on replenishing qi and activating blood， dredging collaterals， dispelling micro-lumps， and clearing the internal heat pathogen.

关键词

糖尿病性勃起功能障碍难治性勃起功能障碍阴茎络病内热伏体微癥积

Keywords

Diabetic erectile dysfunctionrefractory erectile dysfunctionpenis collateral diseaseinternal heatmicro-lumps

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